Catamenial pneumothorax
Keywords:
pneumothorax, menstrual cycle, endometriosis, thoracoscopy.Abstract
Introduction: The catamenial pneumothorax is that spontaneous and recurrent pneumothorax related with the menstrual cycle. More frequent in women with fertile age above the 30 years of age and predominance of the right hemithorax. The primary diagnosis is difficult and the treatment that best results recorded is the surgery by minimal access techniques associated with hormone treatment.Objective: Present a case of catamenial neumothorax, to describetheir clinical characteristics and the videothoracoscopic proceeding used.
Clinical case: 48 years old female patient, with history of chest pain and coughing at the beginning of menstruation and having suffered two spontaneous rights pneumothorax. We performed biopsy, phrenorraphy and pleurodesis by videothoracoscopy, after 18 months the symptomatology did not reappear.
Conclusions: The clinical and radiological elements induce to think of the diagnosis of catamenial pneumothorax, supported by the presence of diaphragmatic fenestrations and the not reappearance of the pneumothorax frame after the closure of the diaphragmatic defects and satisfactory treatment with talc pleurodesis by minimal access surgery.
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References
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20. Acosta Sánchez Dainer R, Abad Ferrer M, Legra Alba N. Neumotórax catamenial. Presentación de un caso. Rev. inf. cient. 2019[acceso: 27/11/2020];98(6):794-801. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332019000600794&lng=es
2. Gaviria JG, Molano JL, Hani A. Neumotórax catamenial. Acta Médica Colombiana. 1996[acceso: 19/07/2019];21(2):93-5. Disponible en: https://www.actamedicacolombiana.com/anexo/articulos/02-1996-09-Neumotorax_catamenial.pdf
3. Velásquez ME, Velásquez M. Neumotórax catamenial. Rev Colomb Cir. 2015[acceso: 19/07/2019];30(4):286-91. Disponible en: https://www.scielo.org.co/pdf/rcci/v30n4/v30n4a5.pdf
4. Rombolá CA, del Pozo P, Honguero A, León P. Diafragma multifenestrado como único hallazgo toracoscópico en neumotórax recidivante. Arch Bronconeumol. 2008[acceso: 19/07/2019];44(11):645-7. Disponible en: https://archbronconeumol.org/es-pdf-S0300289608750270
5. Oreskovic N, Djaković Z, Djakovic I, Kuna K. Menstrual cycle related pneumothorax: case report and review of the literature. Acta Chirurgica Croatica. 2020[acceso: 10/12/2020];17:27-30. DOI: 10.5281/zenodo.4010886
6. Suwatanapongched T, Boonsarngsuk V, Amornputtisathaporn N, Leelachaikul P.Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment. Singapore Med J. 2015 Jul [acceso: 27/11/2020];56(7): e120-3. DOI: 10.11622/smedj.2015115
7. Zelada I, Agüero A, Lee C, Farina C. Endometriosis torácica y neumotórax espontáneo. Cir Parag. 2018[acceso: 19/07/2019];42(1):38-40. Disponible: https://scielo.iics.una.py/pdf/sopaci/v42n1/2307-0420-sopaci-42-01-38.pdf
8. Reyna-Villasmil E, Torres-Cepeda D, Rondon-Tapia M. Neumotórax catamenial recurrente. Reporte de caso. Rev Peru Ginecol Obstet. 2020[acceso: 28/11/2020]; 66(3):[aprox. 6 p]. Disponible en: https://doi.org/10.31403/rpgo.v66i2263
9. Pfeiffer Hernán, Monzón Osuna Juan R, Furque Josefina M. P. Neumotórax catamenial. Rev. argent. cir. 2018[acceso: 27/11/2020];110(3):166-8. Disponible en: https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S2250-639X2018000300007&lng=es
10. Pathak S, Caruana E, Chowdhry F. Should surgical treatment of catamenial pneumothorax include diaphragmatic repair? Interact CardioVasc Thorac Surg 2019[acceso: 10/12/2020]; 29:906-10. DOI:10.1093/icvts/ivz205
11. Nezhat C, Lindheim SR, Backhus L, Vu M, Vang N, Nezhat A, Nezhat C. Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management. JSLS. 2019 Jul-Sep[acceso: 27/11/2020];23(3):e2019.00029. DOI: 10.4293/JSLS.2019.00029.
12. Ramos B, Duarte IM, Montero R. Neumotórax catamenial. A propósito de un caso. EX ME. 2017[acceso: 26/07/2019];21(33):25-9. Disponible en: https://comeca.org/wp-content/uploads/2017/07/EX-ME-N33-Junio-2017.pdf
13. Ruiz de Azúa M, Martínez C, Hernández E, Ugarte J, Iglesias E. Neumotórax catamenial recurrente. Prog Obstet Ginecol. 2004[acceso: 26/07/2019];47(10):495-8. Disponible en: https://www.elsevier.es/es-revista-progresos-obstetricia-ginecologia-151-articulo-neumotorax-catamenial-recurrente-S0304501304760422
14. Ulett Araya NM. Actualización en los puntos clave de la endometriosis. Rev Méd Sinergia. 2019[acceso: 21/09/2019];4(5):35-43. Disponible en: https://revistamedicasinergia.com/index.php/rms/article/download/191/527?inline=1 .
15. Marjánski T, Katarzyna S, Czapla A, Witold R. Catamenial pneumothorax-a review of the literature. Rev Kardiochirurgia i Torakochirurgia Polska. 2016[acceso: 28/11/2020];13(2):117-21. Disponible en: https://doi.org/10.5114/kitp.2016.61044
16. Berríos Silva Raúl, Bulboa Foronda Constanza, Santolaya Cohen Raimundo, Undurraga Machicao Pedro Felipe, Pérez Castro Pablo, Sandoval Sepúlveda César. Endometriosis diafragmática: a propósito de un caso. Rev. chil. obstet. ginecol. 2016[acceso: 21/09/2019];81(4):317-20. Disponible en: https://dx.doi.org/10.4067/S0717-75262016000400009 .
17. Hwang SM, Lee CW, Lee BS, Park JH. Clinical features of thoracic endometriosis: A single center analysis. Obstet Gynecol Sci. 2015[acceso: 27/11/2020];58(3):223-31. Disponible en: https://dx.doi.org/10.5468/ogs.2015.58.3.223
18. Guenther TM, Gustafson JD, Pribyl SM, Wozniak CJ.Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman. Military Medicine. 2020[acceso: 27/11/2020];185(9-10):e1833-e1835. Disponible en: https://doi.org/10.1093/milmed/usz468
19. Casasbuenas A, Cardona AF, Reveiz L, Ospina EG. Neumotórax espontáneo catamenial. Caso clínico. Rev Obstet Ginecol Venez. 2002[acceso: 26/07/2019];62(3):215-17. Disponible en: https://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0048-77322002000 300008
20. Acosta Sánchez Dainer R, Abad Ferrer M, Legra Alba N. Neumotórax catamenial. Presentación de un caso. Rev. inf. cient. 2019[acceso: 27/11/2020];98(6):794-801. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332019000600794&lng=es
Published
2021-10-01
How to Cite
1.
Parra Infante N, Gell Sánchez del Campo J, Plasencia Domínguez O, Rodríguez Reyes H, Sánchez Hernández E. Catamenial pneumothorax. Rev Cubana Med Milit [Internet]. 2021 Oct. 1 [cited 2025 Apr. 19];50(4):e02101187. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1187
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